Jason Scot Brody in Stockbridge - Specialist
Jason Scot Brody - NPI 1427052497
Jason Scot Brody is a Specialist in Stockbridge, Georgia. Jason Scot Brody practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jason Scot Brody is 1427052497. The last update date is 2009-12-10.
Jason Scot Brody's current location address is 1065 Jodeco Rd, Stockbridge, Georgia. You can contact this provider via phone number 6782846314 and fax number 6782846282. The mailing address for Jason Scot Brody is 1065 Jodeco Rd, Stockbridge, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jason Scot Brody |
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Address | 1065 Jodeco Rd, Stockbridge, Georgia |
Phone Number | 6782846314 |
Fax Number | 6782846282 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1427052497 |
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Provider Enumeration Date | 2005-06-08 |
Last Updated Date | 2009-12-10 |
Provider Mailing Address Detail
Address | 1065 Jodeco Rd |
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City | Stockbridge |
State | Georgia (GA) |
Post Code | 3028149530 |
Phone Number | 6782846314 |
Fax Number | 6782846282 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 36110895 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
PA1603 | SC | -- | |
1522 | SC | MEDICARE ID |
Post Comment/ Review Below
What is the unique identification code assigned to Jason Scot Brody by the Centers for Medicare & Medicaid Services?
The Jason Scot Brody has been issued the NPI (National Provider Identifier) 1427052497. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jason Scot Brody's facilities are geographically located?
The facilities of Jason Scot Brody are physically situated at the following location: 1065 Jodeco Rd, Stockbridge, GA, 3028149530.
What is Jason Scot Brody's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jason Scot Brody is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1427052497 to Jason Scot Brody?
The Centers for Medicare & Medicaid Services originally issued the 1427052497 to Jason Scot Brody on 2005-06-08.
When was the information regarding Jason Scot Brody, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jason Scot Brody, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-12-10.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA